Nicole Andrea Bennett, PMHNP-BC Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · East Alton, IL

NPI

1679163372

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

209030085 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2021-01-26

Last updated

2024-08-07